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Dialectical Behavior Therapy (DBT)
Relevant information about Dialectical Behavior Therapy (DBT).
- An overview of the treatment
The DBT is an orientation of cognitive behavioral therapy. Therefore, it is a scientifically validated practice.
This treatment originated as an alternative to a group of diseases against which traditional cognitive and behavioral therapies were ineffective. That is specifically created to address a number of ailments, those who are grouped under the category of borderline disorder.
This therapy not only applies to behavior change strategies (axis of cognitive behavioral therapy), but also introduces strategies for acceptance.
Therapists and patients work to balance change and acceptance, two seemingly contradictory forces or strategies that are overcome in a dialectical movement of balance. A central assumption of dialectical behavior therapy holds that self-destructive behaviors are forms by the subjects learned to manage negative emotions, intense and intolerable in foster environments that have been conflicting.
Thus, according to this type of therapy, the experience of painful situations can lead to the subject to face the emotional pain thinking about the suicide, cutting itself, restricting the food ingestion, vomiting or from the use of alcohol and drugs.
- What problem/ s is expected to be solved
Overall, the main objective of this treatment is helping people to believe that his life is worth. Thus, each patient has the task of controlling behavior that may harm you. To achieve this goal, the intervention is divided into four stages that focus on particular objectives.
The first stage aims to reduce and subsequently eliminate the lethal behaviors, those that interfere with treatment, and those that affect the quality of life in general.
The second stage is aimed at helping the patient regarding the testing of emotions in a healthy way. In phase three, the goal revolves around solving everyday problems. In the last phase is trying to get a sense of wholeness or connection. To have a full life, people must learn new skills, learn to experience emotions and achieve goals. Therefore, the therapy does not end until all of these purposes are achieved.
This therapy works simultaneously on three basic forms of treatment: individual therapy, group skills and telephone support.
Patients attending at least one weekly session of individual therapy. Between sessions, they must comply with assigned tasks.
They also have to participate in a group of skills, at least for a year. These groups constitute a sort of training classes during which skills are taught which are necessary to regulate painful emotions.
In the course of treatment, patients should call their therapists before deploying a harmful behavior: cutting, substance abuse, vomiting or attempt to commit suicide. Thus, the therapist and patient together seek an alternative.
Sometimes, a psychiatrist can prescribe medications as part of treatment. All professionals involved in therapy form an interdisciplinary coordination group that evaluates the evolution of the work plan as it develops.
In general, weekly individual therapy lasts an hour while group therapy involves two hours per week. In total, the program is planned in 18 months on average.
Dialectical behavior therapy is specially designed for subjects with self-injurious behavior: self-cutting, suicidal thoughts and attempts, eating problems and use or abuse of drugs and tranquilizers. In this sense, the effectiveness of treatment for borderline personalities are validated by scientific practice.
To be diagnosed with borderline personality disorder, an individual must jointly submit the following symptoms: emotional lability, frantic efforts to avoid abandonment, marked instability in self-image, impulsivity, and stress in harmful behaviors transitional paranoid ideation.
Recently, there have been many clinical trials around the dialectical behavior therapy. All indicate that the scope of this treatment could increase greatly. The horizon of possibilities not only includes the borderline disorder, but other conditions such as depression, eating disorders, substance abuse and intra-family conflicts.
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